Is THE CHILDREN'S CENTER OF HAMDEN, INC. flagged for Medicaid fraud?

THE CHILDREN'S CENTER OF HAMDEN, INC. (NPI: 1225042542) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does THE CHILDREN'S CENTER OF HAMDEN, INC. bill Medicaid?

THE CHILDREN'S CENTER OF HAMDEN, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Residential Treatment Facility, Emotionally Disturbed Children provider. Located in HAMDEN, CT.

What is NPI 1225042542?

NPI 1225042542 is the National Provider Identifier for THE CHILDREN'S CENTER OF HAMDEN, INC.. They are a Residential Treatment Facility, Emotionally Disturbed Children provider based in HAMDEN, CT. This NPI is registered with the CMS NPI Registry.

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THE CHILDREN'S CENTER OF HAMDEN, INC.

Residential Treatment Facility, Emotionally Disturbed Children·HAMDEN, CT·NPI: 1225042542Share

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.1M

$29,055,901

Total Claims

104K

Beneficiaries

9,294

11.2 claims/patient

Avg Cost/Claim

$280

Monthly Spending Trend

Yearly Spending

2018

$3.1M

+23%

2019

$3.8M

+32%

2020

$5.0M

-49%

2021

$2.6M

+43%

2022

$3.7M

+42%

2023

$5.2M

+10%

2024

$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2048 (Behavioral health; long-term residential, per diem)) accounts for 87% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2048Behavioral health; long-term residential, per diemSee all providers →

$25.3M

44K claims

$570.20

$1,437.23

0.4×

Normal range

T2048Normal range

Behavioral health; long-term residential, per diem

$25.3M

44K claims · 87.0%

Your Cost: $570.20/claim|Median: $1,437.23

0.4× median

H2012Behavioral health day treatment, per hourSee all providers →

$3.3M

51K claims

$64.67

$137.86

0.5×

Normal range

H2012Normal range

Behavioral health day treatment, per hour

$3.3M

51K claims · 11.4%

Your Cost: $64.67/claim|Median: $137.86

0.5× median

90832Psychotherapy, 30 minutesSee all providers →

$178K

3,761 claims

$47.29

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$178K

3,761 claims · 0.6%

Your Cost: $47.29/claim|Median: $41.28

1.1× median

90834Psychotherapy, 45 minutesSee all providers →

$165K

2,920 claims

$56.62

$63.65

0.9×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$165K

2,920 claims · 0.6%

Your Cost: $56.62/claim|Median: $63.65

0.9× median

90791Psychiatric diagnostic evaluationSee all providers →

$93K

814 claims

$114.11

$99.21

1.2×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$93K

814 claims · 0.3%

Your Cost: $114.11/claim|Median: $99.21

1.2× median

90837Psychotherapy, 60 minutesSee all providers →

$45K

461 claims

$97.75

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$45K

461 claims · 0.2%

Your Cost: $97.75/claim|Median: $85.66

1.1× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$8K

106 claims

$74.04

$37.81

2.0×

Top 10%

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$8K

106 claims · 0.0%

Your Cost: $74.04/claim|Median: $37.81

2.0× median

90785 See all providers →

$4K

512 claims

$7.63

$6.43

1.2×

Normal range

90785Normal range

$4K

512 claims · 0.0%

Your Cost: $7.63/claim|Median: $6.43

1.2× median

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